Six breast reconstructions were performed at the G. Roussy Cancer Center using a rectus abdominis musculocutaneous flap without an implant. The flap was drawn vertically in one case and transversally in the other five. This article describes the technique used, and analyzes the results. The main complication is necrosis of the distal extremity when a transverse abdominal flap is used, but in 3 of the 4 cases of partial necrosis, the breast reconstruction was not compromised by excision of the necrosis. In the fourth case, a thoracoabdominal flap was needed to restore the shape of the breast. Despite some encouraging results, this new technique should be confined to women with very poor covering of the thoracic wall as a result of radiation, and those who have no latissimus dorsi muscle or who refuse an implant.
|Translated title of the contribution||Breast reconstruction by rectus abdominis musculocutaneous flap without an implant|
|Number of pages||4|
|Journal||Annales de Chirurgie Plastique et Esthetique|
|Publication status||Published - 1983|
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